Individual
ANGIE MARY JAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(626) 684-0566
Mailing address
6312 BEQUETTE AVE, PICO RIVERA, CA 90660-3508
(562) 237-3445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
05/18/2021
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